Ecological momentary intervention to enhance emotion regulation in healthcare workers via smartphone: a randomized controlled trial protocol.
APP
CBT
DBT
Ecological momentary intervention
Emotion regulation
Health professional
Intervention
RCT
Smartphone
Transdiagnostic
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
05 Mar 2022
05 Mar 2022
Historique:
received:
27
01
2022
accepted:
19
02
2022
entrez:
6
3
2022
pubmed:
7
3
2022
medline:
11
3
2022
Statut:
epublish
Résumé
CUIDA-TE is an APP that offers transdiagnostic cognitive behavioral therapy focused on enhancing emotion regulation. As a novelty, it incorporates ecological momentary interventions (EMI), which can provide psychological support in real time, when suffering arises. The main goal of the study is to evaluate the efficacy of CUIDA-TE to improve emotion regulation in healthcare workers, a population that has been particularly emotionally impacted by the COVID-19 pandemic. In this three-arm, randomized controlled trial (RCT) the study sample will be composed of a minimum of 174 healthcare workers. They will be randomly assigned to a 2-month EMI group (CUIDA-TE APP, n ≥ 58), a 2-month ecological momentary assessment (EMA) only group (MONITOR EMOCIONAL APP, n ≥ 58), or a wait-list control group (no daily monitoring nor intervention, n ≥ 58). CUIDA-TE will provide EMI if EMA reveals emotional problems, poor sleep quality/quantity, burnout, stress, or low perceived self-efficacy when regulating emotions. Depression will be the primary outcome. Secondary outcomes will include emotion regulation, quality of life, and resilience. Treatment acceptance and usability will also be measured. Primary and secondary outcomes will be obtained at pre- and post-intervention measurements, and at the 3-month follow-up for all groups. To our knowledge, this is the first RCT that evaluates the efficacy of an APP-based EMI to improve emotion regulation skills in healthcare workers. This type of intervention might ultimately help disseminate treatments and reach a larger number of individuals than traditional face-to-face individual therapies. ClinicalTrial.gov : NCT04958941 Registered 7 Jun 2021. Participant recruitment has not started.
Sections du résumé
BACKGROUND
BACKGROUND
CUIDA-TE is an APP that offers transdiagnostic cognitive behavioral therapy focused on enhancing emotion regulation. As a novelty, it incorporates ecological momentary interventions (EMI), which can provide psychological support in real time, when suffering arises. The main goal of the study is to evaluate the efficacy of CUIDA-TE to improve emotion regulation in healthcare workers, a population that has been particularly emotionally impacted by the COVID-19 pandemic.
METHODS
METHODS
In this three-arm, randomized controlled trial (RCT) the study sample will be composed of a minimum of 174 healthcare workers. They will be randomly assigned to a 2-month EMI group (CUIDA-TE APP, n ≥ 58), a 2-month ecological momentary assessment (EMA) only group (MONITOR EMOCIONAL APP, n ≥ 58), or a wait-list control group (no daily monitoring nor intervention, n ≥ 58). CUIDA-TE will provide EMI if EMA reveals emotional problems, poor sleep quality/quantity, burnout, stress, or low perceived self-efficacy when regulating emotions. Depression will be the primary outcome. Secondary outcomes will include emotion regulation, quality of life, and resilience. Treatment acceptance and usability will also be measured. Primary and secondary outcomes will be obtained at pre- and post-intervention measurements, and at the 3-month follow-up for all groups.
DISCUSSION
CONCLUSIONS
To our knowledge, this is the first RCT that evaluates the efficacy of an APP-based EMI to improve emotion regulation skills in healthcare workers. This type of intervention might ultimately help disseminate treatments and reach a larger number of individuals than traditional face-to-face individual therapies.
TRIAL REGISTRATION
BACKGROUND
ClinicalTrial.gov : NCT04958941 Registered 7 Jun 2021.
STUDY STATUS
METHODS
Participant recruitment has not started.
Identifiants
pubmed: 35248015
doi: 10.1186/s12888-022-03800-x
pii: 10.1186/s12888-022-03800-x
pmc: PMC8897724
doi:
Banques de données
ClinicalTrials.gov
['NCT04958941']
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
164Subventions
Organisme : CONSELLERÍA DE INNOVACIÓN, UNIVERSIDADES, CIENCIA Y SOCIEDAD DIGITAL, 2021 "Ayudas urgentes para proyectos de investigación, desarrollo tecnológico e innovación (I+D+i) por la covid19"
ID : GVA-COVID19/2021/074
Organisme : UNIVERSITAT JAUME I, "Plan de Promoción de la Investigación 2019"
ID : UJI-B2019-33
Informations de copyright
© 2022. The Author(s).
Références
Monogr Soc Res Child Dev. 1994;59(2-3):25-52
pubmed: 7984164
Int J Environ Res Public Health. 2020 Sep 09;17(18):
pubmed: 32916983
BMC Med Res Methodol. 2004 Nov 09;4:26
pubmed: 15535880
J Consult Clin Psychol. 2010 Apr;78(2):169-83
pubmed: 20350028
J Med Internet Res. 2019 Jan 25;21(1):e11752
pubmed: 30681966
NPJ Digit Med. 2020 Jun 15;3:85
pubmed: 32566763
Clin Psychol Rev. 2018 Jul;63:80-92
pubmed: 29940401
Depress Anxiety. 2021 May;38(5):528-544
pubmed: 33393724
Behav Res Methods. 2009 Nov;41(4):1149-60
pubmed: 19897823
J Abnorm Psychol. 1964 Aug;69:195-205
pubmed: 14213291
Rev Psiquiatr Salud Ment (Engl Ed). 2020 Apr - Jun;13(2):105-110
pubmed: 32376131
Int J Environ Res Public Health. 2020 Oct 26;17(21):
pubmed: 33114522
J Clin Med. 2019 Apr 05;8(4):
pubmed: 30959828
JAMA Netw Open. 2020 Aug 3;3(8):e2017271
pubmed: 32749466
J Am Med Inform Assoc. 2016 Jan;23(1):221-9
pubmed: 25997643
Annu Rev Clin Psychol. 2016;12:157-79
pubmed: 26652054
J Anxiety Disord. 2018 Apr;55:70-78
pubmed: 29422409
Behav Ther. 2017 Jan;48(1):128-138
pubmed: 28077216
Annu Rev Clin Psychol. 2015;11:379-405
pubmed: 25581242
Psychiatr Serv. 2011 Feb;62(2):152-61
pubmed: 21285093
Behav Ther. 2016 Nov;47(6):854-868
pubmed: 27993337
PLoS One. 2021 Mar 11;16(3):e0248152
pubmed: 33705457
J Anxiety Disord. 2020 Oct;75:102289
pubmed: 32853884
Behav Res Ther. 2015 May;68:1-12
pubmed: 25768982
Can J Psychiatry. 2019 Jul;64(7):465-470
pubmed: 31096757
Curr Opin Psychiatry. 2012 Mar;25(2):128-34
pubmed: 22262030
Science. 2010 Nov 12;330(6006):932
pubmed: 21071660
Psychol Assess. 2009 Dec;21(4):457-62
pubmed: 19947780
J Clin Psychol. 2015 Jan;71(1):1-20
pubmed: 25042066
Front Psychol. 2015 Feb 24;6:160
pubmed: 25759676
Psychiatr Danub. 2020 Sep;32(Suppl 1):10-14
pubmed: 32890354
J Health Soc Behav. 1983 Dec;24(4):385-96
pubmed: 6668417
Clin Psychol Rev. 2015 Nov;41:40-8
pubmed: 25043445
Front Psychol. 2020 Nov 10;11:559572
pubmed: 33240149
Health Qual Life Outcomes. 2020 Nov 11;18(1):364
pubmed: 33176807
Perspect Psychol Sci. 2014 Sep;9(5):481-96
pubmed: 26186755
Emotion. 2007 Nov;7(4):715-23
pubmed: 18039038
Int J Behav Med. 2008;15(3):194-200
pubmed: 18696313
Lancet Psychiatry. 2020 Jun;7(6):547-560
pubmed: 32304649
J Res Health Sci. 2020 Jun 18;20(2):e00481
pubmed: 32814702
PLoS Med. 2010 Mar 24;7(3):e1000251
pubmed: 20352064
PLoS One. 2021 Jun 10;16(6):e0252809
pubmed: 34111170
Cognit Ther Res. 2016 Jun;40(3):426-440
pubmed: 27524846
PLoS One. 2020 Sep 3;15(9):e0238217
pubmed: 32881887
Disabil Rehabil. 2017 Jun;39(11):1131-1135
pubmed: 27291566
Int J Environ Res Public Health. 2020 Aug 26;17(17):
pubmed: 32858810
Eur J Pain. 2014 Jul;18(6):862-72
pubmed: 24921074
Int J Environ Res Public Health. 2020 Nov 12;17(22):
pubmed: 33198084
Internet Interv. 2020 Apr;20:100317
pubmed: 32289019
Emotion. 2020 Feb;20(1):30-36
pubmed: 31961174
Psychosom Med. 2001 Jul-Aug;63(4):679-86
pubmed: 11485122
Monogr Soc Res Child Dev. 1994;59(2-3):53-72
pubmed: 7984167
Soc Cogn Affect Neurosci. 2019 Jan 4;14(1):47-57
pubmed: 30481361
Lancet. 2007 Sep 8;370(9590):841-50
pubmed: 17826169
Clin Psychol Psychother. 2014 Sep-Oct;21(5):427-36
pubmed: 23918764
J Exp Psychol Gen. 2014 Feb;143(1):163-81
pubmed: 23163767
Psychol Bull. 2012 Jul;138(4):775-808
pubmed: 22582737
J Pers Assess. 2020 May-Jun;102(3):348-356
pubmed: 30714818
J Med Internet Res. 2017 Sep 15;19(9):e306
pubmed: 28916506
Int J Environ Res Public Health. 2020 Oct 21;17(20):
pubmed: 33096650
Clin Psychol Rev. 2017 Nov;57:141-163
pubmed: 28941927
Eur J Psychotraumatol. 2015 May 19;6:27882
pubmed: 25994025
Psychol Sci. 2011 Nov;22(11):1391-6
pubmed: 21960251
JMIR Mhealth Uhealth. 2020 Apr 2;8(4):e14897
pubmed: 32238332
Rev Psiquiatr Salud Ment (Engl Ed). 2021 Apr-Jun;14(2):90-105
pubmed: 33309957
JMIR Ment Health. 2020 Mar 26;7(3):e18848
pubmed: 32213476
Gen Hosp Psychiatry. 2006 Jan-Feb;28(1):71-7
pubmed: 16377369
J Affect Disord. 2019 Feb 15;245:728-743
pubmed: 30447572
J Pers Soc Psychol. 2003 Aug;85(2):348-62
pubmed: 12916575
Lancet Psychiatry. 2015 Oct;2(10):942-8
pubmed: 26462228
Clin J Pain. 2018 Oct;34(10):900-908
pubmed: 29659375
Lancet. 2020 Mar 14;395(10227):912-920
pubmed: 32112714
BMC Med Educ. 2007 Aug 02;7:26
pubmed: 17678553
Z Gesundh Wiss. 2020 Jun 6;:1-6
pubmed: 32837840
BMC Public Health. 2021 Jan 9;21(1):104
pubmed: 33422039
J Gen Intern Med. 2001 Sep;16(9):606-13
pubmed: 11556941
Front Psychol. 2019 Feb 01;10:72
pubmed: 30774610
Psychol Sci. 2013 Dec;24(12):2505-14
pubmed: 24145331
Front Psychol. 2019 Jun 18;10:1261
pubmed: 31275191
J Med Internet Res. 2021 Feb 1;23(2):e21335
pubmed: 33522977
J Health Soc Behav. 2010;51 Suppl:S41-53
pubmed: 20943582
Emotion. 2014 Oct;14(5):878-91
pubmed: 24999913
Can J Psychiatry. 2007 Apr;52(4):233-40
pubmed: 17500304